| NPI | 1912238262 |
|---|---|
| Former Name | JENNIFER BONOAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NJ 40QA00865300) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00865300) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2010-01-27 |